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James A. Gustino
May 20, 20241 min read
A different type of fraud on the taxpayer (involving non-compliance with regulatory requirements governing research grants), but not an uncommon occurrence.
//The [$7+ million] settlement resolves allegations that CCF made false statements to NIH, a component of the Department of Health and...
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James A. Gustino
May 17, 20242 min read
It is despicable when greedy hospice owners submit claims for Medicare/Medicaid services never provided to the dying, but unfortunately this type of case is not uncommon.
//Hospice Owner Sentenced to 240 Months Imprisonment and Ordered to Repay $42,000,000 for Defrauding Medicare U.S. Attorney Duane A....
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James A. Gustino
May 17, 20241 min read
Cape Cod Hospital to Pay $24.3 Million to Resolve False Claims Act Allegations Concerning Its Failure to Comply with Medicare Rules for Cardiac ProceduresAnother day, another multi-million dollar Fa
Another day, another multi-million dollar False Claims Act recovery for U.S. taxpayers... //Cape Cod Hospital, based in Hyannis,...
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James A. Gustino
May 16, 20241 min read
The creativity of fraudsters in unlawfully "gaming" the Medicare/Medicaid reimbursement system knows few bounds.
The creativity of fraudsters in unlawfully "gaming" the Medicare/Medicaid reimbursement system knows few bounds. (And the reason it is...
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James A. Gustino
May 15, 20241 min read
I was shocked initially by the frequency and varied nature of the Medicare schemes perpetrated (reminiscent of corruption found in many Third World countries), but not any longer.
Medicare and Medicaid fraud apparently pays (and pays well) since it continues to be rampant. In fact, it is believed that only a small...
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James A. Gustino
May 1, 20245 min read
Before Committing to Blowing the Whistle, Know This
The False Claims Act ("FCA") is the government’s most powerful and effective weapon for combatting fraud in federal healthcare programs...
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James A. Gustino
Apr 30, 20242 min read
Protecting Yourself Under the False Claims Act: A Guide for Whistleblowers
Discovering that your employer is involved in submitting false claims to the government can be a distressing and intimidating situation....
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James A. Gustino
Apr 29, 20242 min read
Proving Retaliation Under the False Claims Act
Understanding Retaliation Claims under the False Claims Act: A Comprehensive Guide Introduction: Retaliation against whistleblowers who...
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James A. Gustino
Feb 17, 20202 min read
False Claims Act primer
The False Claims Act (FCA) is an extraordinarily effective tool to recover taxpayer-funded losses sustained by the U.S. government. It...
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